2016-06-20_REPORT - M2003092

• Permit No: M2003092
• IBM Index Class Name: Report
• Doc Date: 6/20/2016
• Doc Name: Annual Fee/Report/Map
• From: Gray Pit #1
• To: DRMS
• Annual Report Year: 2016
• Email Name: DMC
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M2003092
Nick H. Gray Receipt#: 21679
Nick Gray Date: 06/20/2016
584 65.30 Rd.
Permit: M2003092
Montrose CO 814010000
MethodPayment Revenue CodeDescription/Notes
Check#1421 4300-MAFO Minerals Annual Fees $791.00
Receipt Total: $791.00
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